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w eriz g a
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Ho arac ursi
ch out n ion?
ab fess
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Is nursing a science?
Nursing
Ways of knowing
Carpers patterns of
knowing (1978)
Empirics
Esthetics
Personal knowledge
Ethics
Systematic, purposeful
approach
Focused practice
coordinated and less
fragmented care,
Conceptual models or
conceptual frameworks
Propositions
Theory
Assumptions
Purpose
Indications for use
Silent Knowledge
Received Knowledge
Subjective Knowledge
Procedural Knowledge
Constructed Knowledge
(Note: From Kidd & Morrison, 1988 who adapted language from seminal
work of Belenky, Clinchy, Goldberger, & Tarules Womens Ways of
Knowing from the early 80s. The 80s were an active period of womens
studies and research about differences between men and womens ways
of being in the world)
Most abstract
Philosophical world
views
Philosophy of nursing
Critical theory
Feminist theory
Less abstract
Focus on a particular
phenomenon
Eg social support, quality of life,
hope, anxiety; death and dying
Fewest concepts
Prescribe or guide practice
Factor-isolating theories
Descriptive,
Factor-relating theories
Attempts
related
Eg
Statistical
correlation research
Situation-relating theories
Predictive
that
Eg
Cause
Situation-producing theories
Prescriptive for future outcomes and defined goals.
Smoking cessation and improved birth weight
Cocaine abuse and fetal addiction
Propositions
Nursings Metaparadigm
Paradigm1Normal ScienceAnomalies
CrisisRevolutionParadigm2
Silent Knowledge
blind obedience to medical authority. Little attempt
to develop theory; growth of hospital training
programs w/ apprenticeship model of learning
Received Knowledge
learning through listening to others. Borrowed
theories and reliance on authority of educators,
sociologists, psychologists, physiologists, and
anthropologists to provide answers to nursing
problems:focus on nursing education in
universities; RN shortage, graduate nursing
education; social, biologic, medical theory
Knowledge: integration of
different types of knowledge, building on
previous empirical studies, literature, pt
experiences, etcintegration & building on
previous studies, pt. experience, literature,
etc